HomeMy WebLinkAbout20167400 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2()1674(JlJ
Pin #: 90760
Assessor'sParcel 396-13148 Lot: '13
Unit:
Block: NA
AddressRange: 2401-2407
Historic: No
Suite Range: 2409-2415
Zoning: R4
q
Owner:
Address
Phone:
Tenant Name:
Contractor
Address:
Chris Merritt
653 S Woodland
Orange, CA 92869
(7141 420]t41s
vacant
Perkins Electric
1291 W Cerritos Avenue, #81
Anaheim, CA 92802
l7 14). 7 42-2298
01 't 16002
01 1 16002
01 1 16002
01 1 16002
01 1 '16002
51603
51603
51603
5'1600
51603
Qty
3.00
2.OO
16.00
1.00
1.00
Fee
$4.35
$3.16
$16.80
$22.08
$55.04
Fee Type Amount
125 Volt Receptacle 1.45
Light Switches, Occ. Se 1.58
Light Fixtures 1.05
General Plan Update 22.08
lssuance 55.04
Phone
State Lic #: 741414
Lic Type: C-10
Bus. Lic #: 352815
Workers' Compensation lnsurance:Carrier: Exempt
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work
Planning Conditions
Fourplex
Miscellaneous
Outlets/SY!,itches/Fi xtures
Occupancy:
Constr Type
Code:
R-2
VB
cEc 2016 Noles
Date
Date
Date
Misc. Receipt:
N4isc. Receipt:
l\4isc. Receipt:
Total
Brodowski, Teri
Every permit is'ued shall become invalid unless the work on the sile
autho zed by such permit is cofimehcecl within 180 days after ils
issuance, or if the wofu authotized on lhe site by such permit is suspended
ot abandoned for a period of 180 days after the time the wotu is
commenced
11114t2018
Account#
$22.08
$79.35
$101 .43
$0 00
$101.43
lnspector
01 1 16002 51600
01 116002 51603
Fee Total:
Paid to Date:
Balance Due
Project Address: 2409 N Deodar St Bldg:
Tract: 6856
COPY
Plannang Approval By:
Plan Checked Byi
Permit lssued By:
Subject to Field:
Building Permit #:
MID#: 2018-147612
APPROVALS DATE ID/SIG.COMMENTS O\T'NER BUILDER DELCARATTON
I hq.h, Emon und6 pdahy of rdjlry rhal I an .rcmpr lior rh. Conlmclors l-ic.nsc Larv lor lhc tulk wing r@n (5...701 1.5
Busin6s and PDf6ioh Cod.)r .{ny Cily or County shich rcqun6 ! pcmn to coBtrud. alrd. improv€. rldnolish or rcpdr ey
slrucrue prior ro irs isuuc.. aI$ rcquir6 rh. ip!,licaor ror such p€mn h fiI. , 3isn€n *ah6l thd n or shc G licds€d psusl
lo thc provisioG of thc Conkacroar Li..ns.d Law (Chafls '). Com'n..cii8 *nh serion 7000 of oiviion I oflhc Buind ed
Proa.sioB Codc) or rhar hc or sh. is cxmpl lhs.6om ed lhe bsis for lhc allcs.d €xdption. Any vidldion ois&ion 701 L5 by af,y
opplicantlo.rpdmilsrbjetslh.applicanltoacivilpcnahyolnolnorclhdfiv.hundr.ndoldslX500).
-1,
6 oMq of lhE pmp6ly, or ny mplorc Nirh Nas6 6 rh€i. el. .o,np.Mion, \ill do lhe wort ad lh€ sln l@ 6 Nr
i.rdd.d 6r ottdcd tr s,L (Sd 704-4. Bosine dd Pro fsioc Cdc T1. Conlrocloir l-icsc LaLv do6 nol apply lo d osntr oa
the propdy sho boil& or improG ih€@tr ald pto do6 sch $!i( hlNelf or hdcllor ihough ht or hd om dDploy.6.
lrovidcd rh4 su.h improlomrs rc ml inloded q olls.d for sle I I howds, rhc hildins or irliwdml G $ld vifiin onc J a
orconplciioc rh. Ovn6 auiklg Nill haE lh€ tudo oflrovins ihd h€ or shc did mt t ld or i,rp,orc thc pmpdy hr th. prtpos oi
-L
s oMo of rhc ntup.nn m .r.lusi!.ly co 6c1ine sirh licaMd .onlractoB Io coBlrucl rh. lrej61 (5(. 7044, a6ins
md P,trfsion Cod.: Th. Conrracroas Lictr$ trw do6 nor.pply ro tr ownr olpropcnyuho b!il& or nnprcvs thsan,
and Nho conrra.ls for such rojds with a Cotnoclo(s) licflsj ps@r ro rh.Conlrcclols Lic.N. Lrw).
_l ,n cr'npt u.d.r Sor io6 . a. & P.( . lo. lhis rcason.
OBn.r
tlaBr&8l(lrlfEltarIa!
IECIAEAIIA!
I hd.by nmnn und.' I[ dllyol ltrrr ryonc ofrhc folld\i'rs dcclrarnnrs
-l
h.vc 6rd will iainrain a Ccnin.ar. ofcons( ro selfinsur. aor wrk€rs coop.nsalion, 6 Fovid.d lor by sdion I700 olfi.
Labr Cod., for rhc pqfom c. oarh€ Nork lor wni.h lhc Dmrn is i$ucd
I havc and *ill mdflain workerr com!.Nar ion i6uran.€. s rcquned bv Sdion 1700 of lh. tlbor Codc, ao. lh. !-qfonrecc ot
rh. work aor s hich fib Fmir is isuol. My work6 comp.Mrion i6or cc cui6 dd policy nunb.r d€
Poli.t Nunbn
-Flpnei:
I co1iry that in Ihc p.rtomancc ofthc{o* aor which this r€.mit is isucd- I shall nor cnPloy any p.uon in.ny hanno
s, s ro bccone subj<r !o rh. roit6' .dmpdsrion la$s oacalia.mia dd r{r.. rhar ia l should b€.om subi<t ro rhc
*0*6' .onp@tion provisioN of Sdior 1700 of rh. hbor codi I stall, follhNilh co,nply * ilh thos povisions
WARNINGT f.ilur. to surc vork6 comptralion colmse is unlaslirl, ard shall subj..l m 4ployd lo siiin.l pduti6 dd
civil ,ln6 up lo on€ nundrcd lhouend doll6l$100,000). in addirion ro $. coe of conrp€Ntion, damas6 6 prorid.d foi rh.
S(rion r0,6 ol rhe L{bor code inled md itronF}'. 16.
Applidnl:_
IICEIIINJAXItrAEIOE
DICIJAAIIO!
, hdcby 6ltm undd p.nahy oa pejury rh,r I atr liccN.d und6 lro!tuion of ChapE 9 (comm(c ins silh SdDn 7000) of Dilision l
ol rh€ Busins &d P.of6ioB Codc. ad ny lictu. is in lull foe. d efie.l.
CONSIRUCTION LgNDIN(; AGENCY
I h.r.byainm ndd p6alt, of p.dury lhrl thqc ir . connrudion lodins ar6cy lor lh. p6hlj@c. of th. sort for
"'hich
lhis pqmil is
issucd (S(.3097, Civ. C.).
AIIIISANLIECIAS{IION
I lE*y afrm !.d6 poalry oipajlry on ofOc aollowine dcleations:
Denolilion P.mireAsbetN Notificstion F.dsal R.luhtions (Tillc40. P6t6)
-R.quircd
L.rl6 of Notificalior
^ppli..nt
or Agol siCn ure:
Unde rground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rouqh)
Meter Release
Rough
Service lr4eter
FINAL t?,/y K Sbsa(
Notes, Remarks, Etc.
ELECTRICAL.INSPECTOR RECORD
Site-Work
L.ndd's AC4_s. _
I .diry rhar (h. Ladsl r.gul,lioN r.gfldin8 6b6tG dnoral e nol appli.abl. lo thn Oroj.d.
-l
cdiry rhar I ne€ r€ad lhis appliorioo ai sralc $ar lh. abov. i.aomation ir corr.cl. I a8r to comply wnh .ll Cny &d Couly
orditurcG od Star. Laws Elriis ro &ildiie co.rnclioi. aid h4by drhori2. r.F.9tativ6 of lhir Cily ed Counly to 6ta upon lhc
ab.v.$oiioncd prop.ny for iBp.dion purpG6.
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